| Mr Ismael Bazan, CDPT | |
|
720 W Court St, Suite 8 Nueva Esperanza, Pasco, WA 99301 | |
| (509) 545-6506 | |
| (509) 546-0520 |
| Full Name | Mr Ismael Bazan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 720 W Court St, Pasco, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073738456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RC00046735 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ismael Bazan, CDPT Po Box 1323, Pasco, WA 99301 Ph: (509) 547-2204 | Mr Ismael Bazan, CDPT 720 W Court St, Suite 8 Nueva Esperanza, Pasco, WA 99301 Ph: (509) 545-6506 |
Mrs. Veronica Dolores Gutierrez, RC00056363 Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 W Court St, Suite #8, Pasco, WA 99301 Phone: 509-545-6506 Fax: 509-546-0520 | |
Sarah Gillum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1020 S 7th Ave, Pasco, WA 99301 Phone: 509-547-9000 | |
Alma Luz Medina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 N 7th Ave, Pasco, WA 99301 Phone: 509-545-4462 | |
Carrie L Huie Pascua, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 West Court St, #8, Pasco, WA 99301 Phone: 509-545-6506 Fax: 509-546-0520 | |
Zaira Garibaldo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836 | |
Nakia Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5710 Bedford St, Pasco, WA 99301 Phone: 509-735-6446 | |
David Ainscow, B.A.B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 N 7th Ave, Pasco, WA 99301 Phone: 509-545-4462 |